| NPI | 1477404630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIAS TATE President 870-995-5275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2026-02-04 |
| Last Update Date | 2026-02-04 |